NPIMap

Organization Active NPI

Melissa Eye Associates

  • Optometrist
  • Melissa, TX
National Provider Identifier
1093251340
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5423TG Issued in TX
Legal business name
MELISSA EYE ASSOCIATES
Practice address
3591 McKinney Street
Ste. 200
Melissa, TX 75454-9571
Phone
(972) 837-2222
Fax
(972) 837-2223
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Coly Brett Marsh, O.D.NPI 1881686426
Title
Owner
Phone
(972) 837-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5423TG TX Primary

Addresses

Primary practice location

3591 McKinney Street
Ste. 200
Melissa, TX 75454-9571

Mailing address

3591 McKinney Street
Ste. 200
Melissa, TX 75454-9571
Phone (972) 837-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170207001425 TX Part B Supplier - Clinic/Group Practice 4385927854 Receives reassigned benefits from 6 practitioners
Practice locations: Melissa, TX

National Provider Directory

National Provider Directory

Locations

1280 Sam Rayburn Hwy
Ste 600
Melissa, TX 75454
Phone (972) 837-2222

3591 McKinney St
Ste 200
Melissa, TX 75454
Phone (972) 464-1611

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093251340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY STREET",
            "address_2": "STE. 200",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549571",
            "telephone_number": "972-837-2222",
            "fax_number": "972-837-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY STREET",
            "address_2": "STE. 200",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549571",
            "telephone_number": "972-837-2222",
            "fax_number": "972-837-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "COLY",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-837-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5423TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.